1830 N SHERRY DR - ROOF rYJ j
"
`�,r CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
`t ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
ROOF PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ROOF-2180
Job Type: ROOF PERMIT
Description: RE-ROOF - SHINGLES
Estimated Value: $7,095.00
Issue Date: 9/15/2015
Expiration Date: 3/13/2016
PROPERTY ADDRESS:
Address: 1830 N SHERRY DR
RE Number: 172020-0774
PROPERTY OWNER:
Name: REVERE, LEIF M
Address:
GENERAL CONTRACTOR INFO
1830 NORTH SHERRY DR
RMATION:
Name: TOWNSEND ROOFING &
Address: 10418 NEW BERLIN RD APT 115 QA RANDY CRISS
TOWNSEND
Phone: - -
FEES:
BUILDING PERMIT FEE $85.48
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $89.48
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233 1 S--R d 0 F- 2-180
Office (904)247-5826 Fax (904)247-5845 f
Job Address: ) 0 s her Pr- l Permit Number:
� Description al Descri tion 56'61 6$'Z7 Z5f 04;4— /6-l3 arcel# /7 - d 77q
en) Floor Area of Sq.Ft. Sq. Ft
Valuation of Work$ i/ Oq Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial 'esidenti:
If an existing structure,is a fire sprinkler system installed?(Circle one): I • N/A
Florida Product Approval# F1-1012-`f
For multiple products use product approval form L
Describe in detail the type of work to be performed: o &0 is ceu'e �T
64 1q. it 0 5 1445 , CA-F 1e..) u Adeelertc4 Nis s 'l g7. /
Property Owner Information:
Name: vc(e Address: / ' 3 b .Sheer, -Pr
City Yak ct, State 0-Zip 3Z-Z-3.3 Phone °I 0 9 – ZZ 6 - Li y J
E-Mail or Fax#(Optional)
Contractor Information: n —�-
Company Name: 1 0-W 1'1et i 61,\ooli R.1 4(p). �c-64 'f iviW/ Quali ing Agent: Imo'&o y 1 T 1 SPA I
Address: INN New evt, !`mod• fl S City Sac le-sanu State FL Zip 3ZZ Z 6
Office Phone °IO c4-64 S-S 7 Job Site/Contact Number (�.r iss 47z-y1'M Fax# 1 Oaf-6 ys—s y yZ
State Certification/Registration# GLC I'4 Z 6 Z 411
Architect Name& Phone#
Engineer's Name&Phone#
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated I certi.fr that no work or installation has commenced prior to the
issuance of a permit and that all work will be pe ormed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void f work is not commenced within six(6)months, or if construction or work is suspended or abandoned for aperiod of six(6)months at any time after
work is commenced. I understand that separate permits must be secured for Electrical-Work,Plumbing,Signs, Wells,Pools,Furnaces,Boilers, Heaters,
Tanks and Air Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
I hereby ertify that I have read and examined this application and know the same to be true and correct. All provisions of I• ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume to���'`jori. o violate or cancel the
provisions of any other federal,state, or local law regulating construction or the performance of construction.
Signature of Owner Signature of Contracto
Print Name Le r REv Print Name gt v I t
Sworn to and subscrri1bed bef me Sworn t• and sub • ;�•.- -
this Day of 5e 4eH+ ,20 (5 this , s•y of C • ' "MN 0 2
r* • tre2C±EIE
-.44/ t\i" "
Notary Public P;"•.1.° , CHRIS N. T "e`ric
MY COMMISSION i FF 092654
EXPIRES:March 25,2018
+lpa op Bonded Tau Budget Notary Services
Doc # 2015205588, OR BK 17294 Page 228, Number Pages: 1, Recorded 09/08/2015
at 09:43 AM, Ronnie Fussell CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00
NOTICE OF COMMENCEMENT
FtiEPARc
=armit No. Tax-olio Na. 172020-0774
State 3f Florida County of Duval
To whore It may concern: •
The undersigned hereby Informs you that improvements will be made to certain real property.and in
accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF
COMMENCEMENT.
Legal description of property being improved:
36-6I 08-2S-29E SELVA MARINA UNIT 10-B LOT 6
Andress proper;being improved: 1830 Sherry Dr.N. Atlantic Beach.FL 32233
Genera,description of improvements.Roof Replacement
�: 11Qr Leif Revere
Address 1330 Sherry Dr.N.Atlantic Beach.FL 32233
Owners interest in site of the improvement
Fee S;mpie Titleholder fif other ff'nen o•.ener)
• Name
Address •
Contractor Townsend Roofing and Cnnstniction Services.inc.
Address 10418 New Berlin Rd ri 115 Jacksonville.FL 32226
phone No.904.845-5887 Far,No.
904-645-5442
Surety env)
Address Amount of bond$
Phone No. Fax No.
•
• Name and address of any person making a loan for the cost uci;on of trie improvements.
Name
Address
Phone No. Fax No.
Name of person:itain the State of Florida,other than himself.designated by owner upoii •rhuro notices or ether
documents may be serveo:
Name
Address
Phone No. Fax.No.
in addition to h maoif.c•.-.her designates the folic"::ing person tc receive a oopi of the Liener s Notice as Rreviced in
Section_!13.06 i�;.ib'..Fiorca Statutes.(FRI in at O',.ners option).
Name
Address
Phone No Fax No.
_xpirat:on do:e cf Notice of Commencement the expiration date is one,I:,eer from the date of retorting Jntess a
different date is specified.:
THIS SPACE FOR RECORDER'S USE ONLY OWNER r/
5ie-s ate t'; r%9y O. •^M
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leve:-,t; 7
trim all mararreils an3 dec,a"al:cla f1i.'aIr
3:a In.*art acevatt
# * MY COiMSSION i FF 042654
•
EXPIRES:March 25,2018
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